ABSTRACT
Adenoid cystic carcinoma is one of the rare pathological conditions affecting the larynx. It is known to develop from the glandula elements present in this organ. The authors report a clinical observation of adenoid cystic carcinoma in the form of an exophytic tumour of the pale pink colour having a smooth surface and the well-pronounced vascular patterns at the base. The neoplasm is localized in the arytenoid and retroarytenoid cartilage regions. Being of 3.5-4 cm in size, the tumour causes the narrowing of the larynx in its posterior portions and restricts its mobility. Bearing in mind the considerable extension of the neoplastic process, we undertook laryngectomy including the resection of the orolaryngopharynx and the cervical portion of the oesophagus, the subtotal resection of the thyroid gland and the simultaneous reconstruction of the orolaryngopharynx.
Subject(s)
Carcinoma, Adenoid Cystic , Laryngeal Neoplasms , Laryngectomy/methods , Larynx , Adult , Airway Obstruction/diagnosis , Airway Obstruction/etiology , Airway Obstruction/surgery , Carcinoma, Adenoid Cystic/complications , Carcinoma, Adenoid Cystic/pathology , Carcinoma, Adenoid Cystic/physiopathology , Carcinoma, Adenoid Cystic/surgery , Humans , Laryngeal Neoplasms/complications , Laryngeal Neoplasms/pathology , Laryngeal Neoplasms/physiopathology , Laryngeal Neoplasms/surgery , Larynx/pathology , Larynx/surgery , Male , Neoplasm Staging , Treatment Outcome , Tumor BurdenABSTRACT
Intravenous leiomyomatosis is a rare disease from a group of tumors with the indefinite grading potential. The paper describes two cases of intravenous leiomyomatosis with its detailed morphological pattern, molecular genetic findings, and a brief literature review. Losses of heterozygosity of microsatellite repeats thatwere located on chromosome 10 in 10q22.1 and common in uterine leiomyosarcomas were found in both cases. Investigations of the morphological and biological characteristics of leimyomatosis are important to clarify the key molecular mechanisms underlying the development of this nosological entity and to determine etiopathogenetic relationships between intravenous leiomyomatosis and other uterine smooth muscle neoplasms.
